[Lancet最新评论]:中国的医疗卫生转型 | 中国病理生理学会危重病医学专业委员会
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[Lancet最新评论]:中国的医疗卫生转型
2018年04月08日 时讯速递, 进展交流 暂无评论

Health-care system transition in China

The Lancet 2018; 391: 1332

Published: 07 April 2018

DOI: https://doi.org/10.1016/S0140-6736(18)30737-2

On March 27, the National Health Commission replaced China's National Health and Family Planning Commission (NHFPC) as the ministry responsible for health. The new commission is now headed by Ma Xiaowei, who was the former deputy head of the dismantled NHFPC. Chinese media have described Xiaowei as the person who understands China's health and hospital situation best, owing to his strong background in medicine. Since his graduation from the medical treatment department of China Medical University in 1982, Xiaowei has served many key roles in various health sectors such as the president of the First Affiliated Hospital of China Medical University and director of Liaoning Provincial Health Department. He is also the president of the Chinese Medical Association as well as vice president of the Red Cross Society—China's biggest charity organisation.

Under Xiaowei's leadership, several new functions of the commission to improve health promotion in China are particularly worth mentioning. First, the new health commission will take over from the Ministry of Industry and Information Technology (“One of the biggest barriers to tobacco control efforts in China”, according to a report published in The Lancet Respiratory Medicine) as the government body responsible for implementation of the WHO Framework Convention on Tobacco Control. Second, China's National Committee on Ageing, which leads national efforts to tackle the ageing society is now fully integrated into the National Health Commission to incorporate health care with elderly care.

The non-communicable disease (NCD) burden in China is huge, with tobacco use and ageing as the leading risk factors. Additionally, China's health delivery system is fragmented and hospital-centred. Restructuring the government bodies sends a strong signal of the health-care system transition from disease treatment to health promotion and disease prevention in China. Three forthcoming LancetCommissions, led by Chinese specialists, on healthy cities, primary care, and NCDs in China will be timely contributions to this transition, examining ways of transforming the imminent health challenges that confront China into opportunities to achieve a healthy nation.

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